Page images
PDF
EPUB

request. Port calls issued to passengers to report for processing are not a guarantee that space will be available on a specific vessel. The arrival of priority passengers at the port, after a port call is issued to space-available passengers, may result in a delay of departure until a later sailing.

b. If space is limited and there are several applications on file for travel to a specific area during the same period, the priority of travel will be determined by the date the application for travel is received.

[blocks in formation]

Date

SUBJECT: Application for Space Available Transportation Aboard MSTS Vessel

TO:

Commanding General (Appropriate Army Transportation Terminal Command) 1. Under the provision of AR 55-107, AFR 75-48, 20 September 1950, request is hereby submitted for transportation from

[blocks in formation]

(Whether on extended active duty or on retired list)

5. Name, age, and sex of each dependent to accompany me.

6.

(Sailing date requested and alternate choices if space is not available on
date requested)

7.

(Address and telephone number which communications concerning
proposed travel will reach me)

8. It is understood that this request is for travel of myself and dependents when accompanied by me, only.

9. I certify that I have or will comply with current regulations governing authority to visit outside the continental limits of the United States, including foreign countries.

10. I certify that I have or will comply with the Department of State requirements, if applicable, regarding passports, visas and permits to visit foreign countries.

11. The undersigned accepts full responsibility for the conduct of my dependents who may be authorized transportation as a result of this application.

12. It is understood that the government is not obligated to furnish additional or return transportation to the United States.

13. Inclosed herewith one (1) copy of retirement orders, and/or certification to Veterans Administration for retirement pay.

(OFFICIAL SIGNATURE)

SUBJECT: Application for Advance Authorization To Enter Canal Zone
TO: USAFSO (SFPMPP)

1. I,

AFO New York, 09825

(Name, Grade, and Service Number)

hereby request that the

following individual(s) and myself be authorized to visit in the Canal Zone.

NAME

RELATIONSHIP

AGE

CITIZENSHIP

2. Present address

3. I assume responsibility for the conduct, repatriation, and support of the person(s) admitted to the Canal Zone sponsored by me. If space available transportation is utilized, I will have in my possession return tickets to satisfy repatriation responsibility. 4. Expected date and place of arrival (on or before)

5. The person(s) listed above have been advised to obtain necessary vaccinations and inoculations.

6. Guaranteed residence where guest(s) or dependent(s) will reside within the Canal Zone

7. Length of stay

8. I agree to notify Personal Affairs Office, Albrook AFB, C.Z., telephone 86-7249, of the exact date of arrival of the person(s) I sponsor. I also understand that I must obtain an Exit Permit for the above person(s) when their date of departure through Tocumen has been confirmed.

[blocks in formation]

PART FIVE

HOSPITALIZATION AND MEDICAL CARE

Chapter 18

MEDICAL TREATMENT AUTHORIZED

112. General. Under the provisions of Chapter 55, Title 10, USC, certain retired members and certain dependents of retired members are authorized medical and dental treatment in medical facilities of the Uniformed Services. Medical or dental care furnished retired members and their dependents is always subject to mission requirements and the availability of space, facilities, and capabilities, of the medical staff as determined by the cognized authority in charge of the medical facility. Should it become necessary for a uniformed services medical facility to withdraw a service temporarily for some persons, but not for all, it should be noted that by law dependents of active duty members have a greater entitlement to care in military medical facilities than do retired members and their dependents. Normally, withdrawal, curtailment, or suspension of services is effected only when no other course of action to resolve shortage of funds or other resources is feasible. Waiver of retired pay in favor of VA compensation does not affect the rights of the member or his eligible dependents. This chapter outlines the conditions under which medical and dental care may be received.

113. Retired Member:

a. Retired Member. For the purpose of this chapter, a member of the uniformed service who is entitled to retired pay as a result of service in a uniformed service. Included in this group are those reserve personnel age 60 and over who are entitled to retired pay under 10 USC 1331, provided such person has at least 8 years fulltime active duty in the military service. Active duty for training may not be used in computing the 8 year requirement. Personnel entitled to receive retirement pay under Section 1331 who

have less than 8 years full-time active duty are not entitled to receive medical or dental care. All other personnel who are entitled to receive retirement pay may be provided medical care regardless of their length of service.

b. Treatment Authorized. Eligible retired members may, upon request, be furnished medical and dental care in any medical facility of a uniformed service. The care includes drug and prescription services to the extent that the availability of space and facilities and the capabilities of the staff permit and to the extent that providing such service does not interfere with the primary mission of the facilities in question. It includes the filling of prescriptions written by licensed civilian physicians and dentists in reasonable amounts for items which are stocked routinely. Air Force funds may not be used for medical services and supplies from civilian sources for outpatient care for retired members.

(1) Chronic Diseases. Air Force personnel placed on the Temporary or Permanent Disability Retired List because of chronic diseases as defined by Executive Order 10122, 14 April 1950, and amended by EO 10400, 27 September 1952 (10 USC 1216 Note), are not ordinarily admitted for treatment of these chronic diseases. They may be admitted in case of emergency. Arrangements will be made, however, for movement at the earliest practicable time to a VA medical facility for further medical care. Personnel requiring merely domiciliary-type care because of age or chronic invalidism should apply through the nearest VA Regional Office.

c. Transportation Costs. Transportation costs incident to the travel of a retired member to and from medical treatment facilities will be at the individual's expense. No reimburse

ment will be authorized by the Air Force. Exception is made in the case of members on the Temporary Disability Retired List who are required to travel in connection with periodic medical examinations ordered by HQ USAF. Personnel in this category should consult the administrative officer of the medical facility where the examination is performed.

d. Subsistence Charges:

(1) Officers shall pay the subsistence charge current during the period of hospitalization in a medical facility of the uniformed services.

(2) Enlisted men shall not be charged for subsistence when hospitalized in a medical facility of the uniformed services.

e. Application. A retired member, or his dependent, may apply for medical or dental care in a uniformed service medical facility directly to the commander of the facility concerned. Requests for admission or treatment may be in person, by letter, telephone, or telegraph. The following information will be required:

(1) Identification of the retired member. (2) Nature of illness or injury.

(3) Place of residence.

114. Dependents:

[blocks in formation]

(6) A parent(s) or parent (s)-in-law who is, or was at the time of the death of the retired member, in fact, dependent on him for over onehalf of his support and who is or was actually residing in a dwelling place provided or maintained by said retired member.

(7) Unmarried legitimate child (including an adopted child or stepchild) who:

(a) Has passed his 21st birthday, if the child is incapable of self-support because of a mental or physical incapacity that existed prior to his reaching the age of 21 and is, or was at the time of the retired member's death, dependent on him for over one-half of his support, or

(b) Has not passed his 23d birthday and is enrolled in a full-time course of study in an institution of higher learning as approved by the Secretary of Defense or Secretary of Health, Education, and Welfare and is, or was at the time of the retired member's death, dependent on him for over one-half of his support.

c. Treatment Authorized. Dependents of retired members of the Air Force and dependents of persons who die while in retired status may, upon request, be furnished medical care in any medical facility of a uniformed service. The care includes drug and prescription services to the extent that the availability of space and facilities and the capabilities of the staff permit and to the extent that providing such services does not interfere with the primary mission of the facilities in question. It includes the filling of prescriptions written by licensed civilian physicians and dentists in reasonable amounts for items which are stocked routinely. Air Force funds may not be used for medical services and supplies from civilian sources for outpatient care for dependents of retired members. Determinations made by the medical officer in charge of the medical facility, or by his designee, as to availability of space and facilities, and the capabilities of the professional staff, shall be conclusive. The furnishing of medical care to dependents shall not interfere with the primary mission of those facilities. Medical care of dependents in the facilities of the uniformed services shall be limited to:

(1) Diagnosis. A determination of the existence and nature, or absence, of disease or injury by history with physical and mental

« PreviousContinue »